
Student
Profile Form
Dear Student
It would greatly
assist me in your studies this year if you could let me have a little background
information about yourself and an idea of any concerns you might have.
I should be grateful therefore if you would kindly complete and return
this form to me as soon as possible. Please
be assured that this is a document between ourselves and I shall not discuss the
contents with anyone else. Please
do not hesitate to get in touch if you need to.
Thank you.
Student Name:
Personal Identifier:
Course:
Keeping in touch
·
How are you best contacted during the year?
Phone
numbers: home:
Other (specify)
Best times to contact
If you are unable to come and would like me to know the reasons why,
please indicate below;
If you wish, please give brief personal information (occupation, family,
interests etc.) which might help to give a fuller picture of you.
Are there any other things which might affect your studies, or any other
concerns you might have (health circumstances, personal situation etc.) which
you would like me to know about?